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Addressing the roadblocks to hypertension management in Ghana: proceedings of a roundtable discussion
Alfred Doku1, Dzifa Ahadzi2, Ebenezer A Adams3
1Department of Medicine, University of Ghana Medical School, Korle-Bu Teaching Hospital, Accra, Ghana.
Insights
Hypertension is a major preventable killer in Africa, with Ghana facing significant care gaps. Addressing inadequate funding, healthcare capacity, and patient education is crucial for better hypertension management.
Area of Science:
- Public Health
- Cardiovascular Disease Epidemiology
- Health Policy
Background:
- Hypertension is the leading cause of preventable deaths in the African region.
- Ghana experiences a growing burden of hypertension, with many undiagnosed or poorly controlled cases.
- Significant gaps in hypertension care necessitate urgent interventions.
Purpose of the Study:
- To organize advocacy roundtables to scale up hypertension management efforts in Ghana.
- To identify and discuss roadblocks to effective hypertension management.
- To develop actionable strategies and timelines for improving hypertension care.
Main Methods:
- Convening diverse stakeholders in hypertension care in Ghana.
- Utilizing country mapping of the hypertension situation as a basis for discussion.
- Facilitating dialogue on challenges and solutions for hypertension management.
Main Results:
- Identified major roadblocks including inadequate financing for cardiovascular disease (CVD) care.
- Highlighted insufficient capacity for CVD care across all healthcare levels.
- Noted insufficient patient education for optimal self-care.
Conclusions:
- Urgent need to address financing, healthcare capacity, and patient education for hypertension management in Ghana.
- Multi-stakeholder collaboration is essential for developing and implementing solutions.
- A clear roadmap with timelines is required to curb the hypertension epidemic.
Abstract:
Hypertension is the top cause of preventable deaths in the African region. The burden of hypertension is increasing in Ghana, along with other countries in the African continent. Many people with hypertension in Ghana are unfortunately unaware of their diagnosis, and those who are aware often have poorly controlled blood pressure. The current situation is a signal of critical gaps in hypertension care in Ghana that need to be urgently addressed to curb this epidemic. The World Heart Federation (WHF), sponsored by Resolve to Save Lives, responded to this need by organising advocacy roundtables on hypertension in selected countries in sub-Saharan Africa to scale up hypertension management efforts in these countries. The roundtable on hypertension in Ghana was organised in collaboration with the Ghanaian Society of Cardiology (GSC) and the Stroke Association Support Network (SASNET) Ghana. A country mapping detailing the current situation and evolution of hypertension in Ghana over the years formed the basis of the roundtable discussions. The roundtable convened diverse stakeholders in hypertension care in Ghana to discuss the roadblocks to hypertension management in Ghana, proffer solutions to address them and chart a course with timelines for action. Major roadblocks to the management of hypertension in Ghana identified included inadequate financing for cardiovascular disease (CVD) care, inadequate capacity for CVD care across all levels of the healthcare system and insufficient education to empower people with hypertension for optimal self-care.
Funding:
The roundtable was funded through a grant by Resolve to Save Lives through the World Heart Federation.
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